Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $398.11 / $977.24	Facility		$44.67	$398.11	$977.24
Aetna Facility/Professional Facility Modifier AA Low / Median / High Price $501.19 / $616.60 / $870.96	Facility	AA	$501.19	$616.60	$870.96
Aetna Facility/Professional Facility Modifier QK Low / Median / High Price $95.50 / $177.83 / $446.68	Facility	QK	$95.50	$177.83	$446.68
Aetna Facility/Professional Facility Modifier QX Low / Median / High Price $97.72 / $263.03 / $588.84	Facility	QX	$97.72	$263.03	$588.84
Aetna Facility/Professional Facility Modifier QY Low / Median / High Price $190.55 / $194.98 / $338.84	Facility	QY	$190.55	$194.98	$338.84
Aetna Facility/Professional Facility Modifier QZ Low / Median / High Price $575.44 / $977.24 / $1,479.11	Facility	QZ	$575.44	$977.24	$1,479.11
Aetna Facility/Professional Professional Modifier AA Low / Median / High Price $354.81 / $741.31 / $1,230.27	Professional	AA	$354.81	$741.31	$1,230.27
Aetna Facility/Professional Professional Modifier QK Low / Median / High Price $199.53 / $323.59 / $575.44	Professional	QK	$199.53	$323.59	$575.44
Aetna Facility/Professional Professional Modifier QX Low / Median / High Price $204.17 / $331.13 / $575.44	Professional	QX	$204.17	$331.13	$575.44
Aetna Facility/Professional Professional Modifier QY Low / Median / High Price $234.42 / $309.03 / $549.54	Professional	QY	$234.42	$309.03	$549.54
Aetna Facility/Professional Professional Modifier QZ Low / Median / High Price $263.03 / $537.03 / $794.33	Professional	QZ	$263.03	$537.03	$794.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $426.58	Facility		$218.78	$218.78	$426.58
BCBS Facility/Professional Professional Modifier AA Low / Median / High Price $309.03 / $446.68 / $467.74	Professional	AA	$309.03	$446.68	$467.74
BCBS Facility/Professional Professional Modifier QZ Low / Median / High Price $446.68 / $467.74 / $467.74	Professional	QZ	$446.68	$467.74	$467.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Facility		$61.66	$61.66	$61.66
Cigna Facility/Professional Facility Modifier QK Low / Median / High Price $30.90 / $30.90 / $30.90	Facility	QK	$30.90	$30.90	$30.90
Cigna Facility/Professional Facility Modifier QX Low / Median / High Price $30.90 / $30.90 / $30.90	Facility	QX	$30.90	$30.90	$30.90
Cigna Facility/Professional Facility Modifier QY Low / Median / High Price $30.90 / $30.90 / $30.90	Facility	QY	$30.90	$30.90	$30.90
Cigna Facility/Professional Professional Modifier AA Low / Median / High Price $354.81 / $436.52 / $575.44	Professional	AA	$354.81	$436.52	$575.44